Ok, we wanted to show you now with this, as we had mentioned, imaging, tomography and MRI. We just had surgery on this little patient, she is from Colombia, but to give you an idea, she is 39 years old, almost 40, and she just came, I interviewed her on October 3 via zoom and she came for surgery just last week, that is , only 23 days passed in preparing the document issues, but I wanted to show you the images that she sent me in her first interview and with that we were able to give her a precise diagnosis and also tell her what the surgical intervention was going to be like and see the risk especially of bleeding.
So I wanted to show you why the images that they handle in the health sector are very interesting, look, this is a sagittal tomography, we see all the tumor that is anterior, these are two more tumors, here begins what would be the cervix more or less, but it I’m going to move so you can see that, father, the imaging, this is the bladder, the fibroid is still visible, 2 fibroids here on the back side and if I start to move it up, you can see how the pedunculated can be seen completely. Why do we know that this one is pedunculated? ? Because when we begin to see the uterine body it never comes into contact with the muscles and here another myomite appears that is also a pedunculate and this is completely the free cavity of the uterine muscle but the uterine edge is well rounded and well delimited.
So this is the fibroid with large elements, this tumor was approximately 20 centimeters long but it was without involvement of the uterine muscles. Here we see a myomite that she also had during surgery and two more that were on the posterior surface, which are these two images But the importance of having a good MRI or a good CT scan is that we, the patient, can give the patient guidance on remembering the characteristics of fibroids. This is a pure subserous fibroid, which in fact during surgery you will notice it has a pedicle or had a pedicle more or less 3 or 4 centimeters in diameter, too large and as soon as we started the surgery there was a bleeding of 200 milliliters , in which we managed to clamp that pedicle but subserosal fibroids are generally very easy to resect or dissect, the main problem is the vascular pedicle.
So right now this patient is going to do us the favor of having an interview with us so that she can tell us a little about how she found us on YouTube, how she made the contact, how she made the whole relationship to come and how important or how easy it was. Sometimes it turns out to be encouraged to come with us. They had obviously told her that this surgery was going to remove her entire uterus, they had even already sent her to medical oncology, that is, to an oncological surgeon of those who deal with tumors or cancers, because they told her that this had to be done. do everything in the routine of removing the uterus, removing the uterus and fibroids and look at the fibroid, it reached exactly below, this is the umbilical scar, exactly below the umbilical scar but it was a fibroid that was too irregular, they are going to do it Let’s see in surgery. But if I wanted to tell you that all the patients who are foreign, the tomography or the MRI for us is a fundamental weapon because it will give us a very real idea of how the situation is, the ultrasounds are important because we have to remember the ultrasound is like the primary diagnosis that the obstetrician-gynecologist has to be able to do a gynecological evaluation of the patient and say “Hey, you know, I think you have a fibroid, it’s large” but in many cases the ultrasound window is very small and does not give us all the real dimension of a tumor and much less, sometimes, it gives us the differentiation between intramural, subserous, submucosal and generally see the dimensions, so if a tomography is very important, see how the cavity looks free. This patient is leaving on Monday, now we are going to interview her, but the advantage of this woman is that since we do not touch almost the uterine muscles, she can get pregnant in two or three months maximum and it is important to know that with age we are very imprisoned with fertility, then we must guide her on the next step of seeking pregnancy, remember “Knowledge is power” call us, write to us, we have a virtual consultation and we can assist you.